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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Pain among ambulatory HIV/AIDS patients: Multicenter study of prevalence, intensity, associated factors, and effect
Journal of Pain, Volume 13, No. 7, Year 2012
Notification
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Description
This study aimed to determine the prevalence, intensity, associated factors, and effect of pain among ambulatory HIV/AIDS patients. Three-hundred two adult ambulatory HIV/AIDS patients were consecutively recruited from HIV/AIDS outpatient clinics at 2 teaching hospitals in Uganda. The presence and intensity of pain were self-reported using the Brief Pain Inventory (BPI); symptom data were collected using the Memorial Symptom Assessment Scale (MSAS-SF); and quality of life (QOL) was assessed using the Medical Outcome Scale-HIV. Forty-seven percent reported pain in the 7 days prior to the survey and pain was a symptom at the time of diagnosis for 68%. On the 0 to 10 numeric scale, 53% reported mild pain (1-4 rating), 20% reported moderate pain (5-6 rating) while 27% reported severe pain (7-10 rating). Gender was not associated with pain intensity, but reduced functional performance, increasing number of symptoms, advanced HIV disease, physical symptom distress (MSAS-SF), and number of health comorbidities were significantly associated with pain intensity (P <.04). Increasing pain intensity was associated with greater functional ability impairment (BPI functional interference index) and poorer QOL. Pain is a common symptom among ambulatory HIV/AIDS patients and has a debilitating effect on QOL. There is a significant unmet need for pain relief in the population. Perspective: This article discusses the characteristics and effect of pain on function and QOL in East African patients. It also contributes information on characteristics of HIV/AIDS adult patients in the East Africa demonstrating the aspects in which pain is similar across different cultures. © 2012 by the American Pain Society. Published by Elsevier Inc. All rights reserved.
Authors & Co-Authors
Namisango, Eve
Uganda, Kampala
African Palliative Care Association
Harding, Richard
United Kingdom, London
King's College London
South Africa, Cape Town
University of Cape Town
Atuhaire, Leonard K.
Uganda, Kampala
Makerere University
Ddungu, Henry D.
Uganda, Kampala
Makerere University
Katabira, Elly Tebasoboke
Uganda, Kampala
Makerere University
Muwanika, Fred Roland
Uganda, Kampala
Makerere University
Powell, Richard Antony
Uganda, Kampala
African Palliative Care Association
Statistics
Citations: 52
Authors: 7
Affiliations: 4
Identifiers
Doi:
10.1016/j.jpain.2012.04.007
e-ISSN:
15288447
Research Areas
Disability
Infectious Diseases
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Multi-countries
Uganda